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<br />APPLICATION FOR PER!'lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT 7/?///y';e ffik!. e <br /> <br />.J:SI/S M'1",EJt"cW j!f/~7 '7)e <br /> <br />7Jc.'i/4//f 5' C/9i/~L7"e <br />/ / <br />JOB LOCATION ~711..7 /7 7# .J~- <br /> <br />7- /,fIt <br /> <br />PHONE <br /> <br />7$'%'- ~2f?-<'-/ <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />2~ML,L <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.# <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~Insta11 <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />____4F of Uni ts <br /> <br />,____M / H <br /> <br />____Commercial <br /> <br />_Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />, <br /> <br />____Restaurant & Health Department Approval <br /> <br />BuiLDING SIZE: <br /> <br />x_, <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~S.~~ <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />____BUILDING <br /> <br />-X-ELECTRICAL <br />. JJ <br />-LMECHANICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_H.R.E.C. <br /> <br />$ <br /> <br />~731) ~ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block <br /> <br />____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />ElECTRICIAN~' ~~("-c:-...-f:L.~ Company "2-L-\\\...(..~ EL~c..\.<;C"-L.l. <br />~ m State Cert. or Regist, " ,,<:>'" 'ktc.lC <br />Sionature City License Registration 1F LO <br />***************************************** <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />**********************~******************* <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />MECHANICAl <br /> <br /><. <br /> <br />/f;/V~::, Y Company k'/'//// /-J ~E <br />/.(-_.-"..:;1'. ',. .' State Cert. or Regist. I'! "?>/~'&)L;a6;~'<' <br />"~;:r' /~' ~,/~'-;7tIf' City License Registration :F ?Y <br />~~*****~******************************** <br /> <br />Signature <br /> <br />. <br />-. <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />~*********~~*****************.******* <br />L4t --(I A a Z-/Ld) ~ <br /> <br />PERMIT OFFICER. <br />